Facility & Professional Fee Billing
Coordinated billing streams for accurate reimbursements. No missed charges on either side.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for ambulatory surgery centers in Fresno and across California. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in ASC billing.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
Fresno is the largest city in California’s Central Valley and serves as the primary surgical hub for the region. Community Medical Centers, Saint Agnes Medical Center, and Kaiser Fresno support ASCs that serve a population with high Medi-Cal enrollment and significant agricultural workers compensation volume. ASCs in Fresno face a payer mix where government-sponsored plans and workers comp make up a large share of cases, requiring billing teams with deep knowledge of these payer types and their facility fee schedules.
Cosentus provides full-cycle ASC billing and revenue cycle management for surgery centers in Fresno and across the Central Valley. Our team manages facility and professional fee billing across Medi-Cal, workers compensation, commercial, and Medicare. We track case-level profitability, coordinate implant reimbursement, and handle denials across both fee streams for every payer in this market.
What We Manage for ASCs in Fresno
- Facility and professional fee billing coordination
- Case costing and profitability analysis by procedure, surgeon, and payer
- Implant and supply billing with pass-through documentation
- Multi-payer contract management and underpayment detection
- Prior authorization for scheduled surgeries
- Denial management across both fee streams
- Patient billing, cost estimates, and payment plans in 50+ languages
- Live analytics by case type, surgeon, payer, and facility
Complete ASC Revenue Cycle
Case Costing & Profitability Analysis
Track costs and reimbursements by procedure, surgeon, and payer. Know which cases make money and which don’t.
Implant & Supply Billing
Accurate documentation and pass-through billing for implants, hardware, and surgical supplies.
Multi-Payer Contract Management
Monitor reimbursements against contract rates. Flag underpayments. Know when a payer isn’t paying what they agreed to.
Prior Authorization
Authorizations for scheduled surgeries tracked and cleared before the procedure date. No OR delays.
Denial Management & Appeals
High case volume means high denial volume. Unless you stop them at the source. Root cause reviews across both fee streams.
Patient Billing & Pre-Service Collections
Patients get cost estimates before procedures. Cindy handles balances and payment plans in over 50 languages.
Ai AGENT: CINDYAnalytics & Visibility
Live dashboards showing profitability by case type, surgeon, payer, facility, and denial category.
Why Local Knowledge Matters
We Know California Payers
Fresno ASCs navigate a payer mix with high Medi-Cal managed care enrollment, agricultural workers compensation, and a mix of commercial and Medicare plans. Our team tracks the facility fee schedules, authorization requirements, and contract terms for every major payer in the Fresno and Central Valley market.
We Manage Both Fee Streams
Facility and professional fees are managed under one team, one director, and one dashboard. This eliminates the coordination gaps that happen when ASCs use separate billing companies for each fee stream. Our team tracks both sides of every case from charge entry through final payment.
National Reach. Local Focus.
We manage ASC revenue cycles across the country, but your team knows Fresno and the Central Valley. They understand the local health systems, the agricultural workers comp dynamics, and the Medi-Cal challenges that shape ASC revenue in this region.
Frequently Asked Questions
Know Exactly Where Your Revenue Is Going.
Wherever your revenue cycle needs to go, we can help.
- STEP 1
Connect
Tell us about your organization, your specialty and where revenue is getting stuck.
- STEP 2
Diagnose
We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.
- STEP 3
Recover
Together we fix the causes, and the revenue you were missing starts arriving.